| NPI | 1700189107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 16760) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 14761) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |