| NPI | 1740572759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 15672) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS36101) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-05-09 |