| NPI | 1649257999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 011864) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 117110-3) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2015-02-04 |