| NPI | 1710110036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 12226) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 8767) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |