| NPI | 1629342134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 18787) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: CO 18787) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |