| NPI | 1649485665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 5543) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 7969-040) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2007-07-08 |