| NPI | 1619292893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2009023454) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 17799) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2010-03-31 |