| NPI | 1487943379 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 11577) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS e7921) | 
| Enumeration Date | 2011-03-31 | 
| Last Update Date | 2011-03-31 |