| NPI | 1679858682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 17614) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302410492) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |