| NPI | 1407139124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 10604-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 4357) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |