| NPI | 1407137904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6468) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 1547) |
| 183500000X Pharmacist (Licence: MT 3765) | |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |