| NPI | 1659551208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS 26486) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 13649) |
| 183500000X Pharmacist (Licence: WI 14065) | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |