| NPI | 1750690756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202012557) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp043463l) |
| Enumeration Date | 2010-09-26 |
| Last Update Date | 2010-09-26 |