| NPI | 1386963783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 3560) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH232418) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |