| NPI | 1386770220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 13843) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 30913) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |