| NPI | 1699058768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 16059) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA ph27137) |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2011-09-24 |