| NPI | 1588862890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS11333) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PU 3004) |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2007-07-27 |