| NPI | 1679825426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH R1984) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH26463) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |