| NPI | 1710286620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS27901) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00007023) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |