| NPI | 1578727921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S017091) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 119332) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2009-10-20 |