| NPI | 1528341021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS38541) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT00009119) |
| 183500000X Pharmacist (Licence: MA PH24359) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |