| NPI | 1700909066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 15204) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA Rph022325) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |