| NPI | 1518277748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S014096) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 16569) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |