| NPI | 1407132491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 14253-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302033348) |
| Enumeration Date | 2011-10-23 |
| Last Update Date | 2011-10-23 |