| NPI | 1689943060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 5578) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 2473) |
| 183500000X Pharmacist (Licence: CO 12623) | |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |