| NPI | 1568761450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 11423) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 17937) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |