| NPI | 1720399397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000034064) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP444424) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-06-28 |