| NPI | 1619921921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 5322717-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT P3950) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-08-02 |