| NPI | 1497032064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202207252) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 17760) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |