| NPI | 1659358299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS40241) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PU6571) |
| Enumeration Date | 2005-12-26 |
| Last Update Date | 2010-02-19 |