| NPI | 1760766224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 029056) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-09785) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |