| NPI | 1710033956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 6205495-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 5467) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2007-08-01 |