| NPI | 1386952067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00007437) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 16070) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |