| NPI | 1407183643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 12669) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302028770) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2017-11-14 |