| NPI | 1679870224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 11593) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 13154) |
| 183500000X Pharmacist (Licence: FL 33118) | |
| 183500000X Pharmacist (Licence: GA 18760) | |
| 183500000X Pharmacist (Licence: NC 17965) | |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-03-07 |