| NPI | 1558583641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS33435) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC PH10119) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-11-17 |