| NPI | 1386962413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS47460) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 17128) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2012-12-27 |