| NPI | 1720337850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202211058) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 19295) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |