| NPI | 1588976765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000033846) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202207925) |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2010-07-05 |