| NPI | 1649593351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 044641) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-12530) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |