| NPI | 1639319262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3063) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 12462) |
| 183500000X Pharmacist (Licence: CO 17357) | |
| Enumeration Date | 2009-02-22 |
| Last Update Date | 2012-09-13 |