| NPI | 1639427651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 9765) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 14011) |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |