| NPI | 1750607123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 42407) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 3064) |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2010-04-10 |