| NPI | 1487987046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 15363) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 15822) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2012-12-21 |