| NPI | 1700134509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 13502) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 026107) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |