| NPI | 1376762591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 24688) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 3270) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |