| NPI | 1598011330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 12388) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 2455) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |