| NPI | 1629099098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS40166) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00007077) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2009-10-02 |