| NPI | 1710211107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 15341040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 18198) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |