| NPI | 1457793622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 19707) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 026716) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |