| NPI | 1760752299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 40934) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE a1-0002918) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |