| NPI | 1528344140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 041181) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 16239) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |