| NPI | 1396057121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 044637) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-14439) |
| 183500000X Pharmacist (Licence: TN 0000009409) | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |