| NPI | 1457629123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2009029566) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 14578) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |