| NPI | 1699891333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD 3895) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 117212-8) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |