| NPI | 1639354442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 11753) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 15614) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2015-08-08 |