| NPI | 1598071250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP443654) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202209425) |
| 183500000X Pharmacist (Licence: WV RP0007580) | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2013-07-01 |