| NPI | 1508139205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 3898) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP029590L) |
| Enumeration Date | 2012-02-12 |
| Last Update Date | 2012-02-12 |