| NPI | 1710214903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 39799) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS35317) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2009-11-09 |