| NPI | 1508135088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 010927) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 018144) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2012-07-17 |