| NPI | 1407116908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0005788) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 14158) |
| 183500000X Pharmacist (Licence: DE A1-0002742) | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |