| NPI | 1619277118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM rp00006309) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 11161) |
| Enumeration Date | 2010-10-30 |
| Last Update Date | 2010-10-30 |