| NPI | 1477866242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 18774) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 13999) |
| 183500000X Pharmacist (Licence: PA RP038638L) | |
| 183500000X Pharmacist (Licence: SC 012034) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |