| NPI | 1639324502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033-0003732) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS35704) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |