| NPI | 1659419083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 15878) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100000291) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |