| NPI | 1669752606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22331) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2009000324) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2012-10-09 |