| NPI | 1497091615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 13620) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22364) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |