| NPI | 1659497139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 18310) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 10805) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |