| NPI | 1699939298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 7381348-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 20782) |
| Enumeration Date | 2008-07-12 |
| Last Update Date | 2009-11-30 |