| NPI | 1730176132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 10205) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 6152) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2016-02-19 |