| NPI | 1639413305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202211338) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH232906) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-20 |