| NPI | 1467722132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 2779) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 10766) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |