| NPI | 1376573337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 151125-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 7032) |
| 183500000X Pharmacist (Licence: CA 37023) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |