| NPI | 1639481195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP447142) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 15929-040) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2012-10-03 |