| NPI | 1689953366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 0012315) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202210826) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2012-07-30 |