| NPI | 1558612168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 8311) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 1467151701) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |