| NPI | 1710258082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 19144) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 11035) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |