| NPI | 1760636880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PR 2403) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 25894) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |