| NPI | 1558619940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 13747) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22849) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |