| NPI | 1457380305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA 028008l) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202005855) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2007-07-08 |