| NPI | 1497924138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 17845) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 18608) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2010-02-08 |