| NPI | 1770851818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 12748) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 20658) |
| 183500000X Pharmacist (Licence: OK 14086) | |
| Enumeration Date | 2011-12-04 |
| Last Update Date | 2011-12-04 |