| NPI | 1740456870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 9301) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 2575) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |