| NPI | 1538448238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3377) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 7697910-1701) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |