| NPI | 1669759197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 16624) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 2999) |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2011-11-11 |