| NPI | 1376823005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302030463) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps42372) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |