| NPI | 1447554522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 09653) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 1513) |
| 183500000X Pharmacist (Licence: CO 18186) | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |