| NPI | 1689802035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP039540R) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0004755) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |