| NPI | 1467734103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22290) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS40470) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2013-01-02 |