| NPI | 1598777138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS 6969) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 22485) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |