| NPI | 1376814442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS48462) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S018917) |
| Enumeration Date | 2012-01-22 |
| Last Update Date | 2012-12-06 |