| NPI | 1649394446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302033825) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 11902) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-02-23 |