| NPI | 1417393901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 13342) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 8007) |
| 183500000X Pharmacist (Licence: CA 38502) | |
| 183500000X Pharmacist (Licence: PA RP040459R) | |
| Enumeration Date | 2013-05-11 |
| Last Update Date | 2013-05-11 |