| NPI | 1679860373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 3127) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH23828) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2012-09-12 |