| NPI | 1629166749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 10251) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 21512) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |