| NPI | 1639424054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps49205) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 016095) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |