| NPI | 1629377403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 20159) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 43089) |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2011-03-20 |