| NPI | 1609177153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6603) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 17561) |
| 183500000X Pharmacist (Licence: ID CS18023) | |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2013-03-18 |