| NPI | 1639220007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS41866) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 08827) |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2007-07-08 |