| NPI | 1699974758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 011144) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 11389) |
| 183500000X Pharmacist (Licence: GA 23044) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |