| NPI | 1730298894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS 34237) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 15725) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |