| NPI | 1639244361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 2395) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 19151) |
| 183500000X Pharmacist (Licence: FL PS20249) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2012-10-03 |