| NPI | 1720146897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 2826) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 3477) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |