| NPI | 1780904573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202207430) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp440301) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |