| NPI | 1568584563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6739) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 14930) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2014-03-19 |