| NPI | 1780986620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 20061) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202208373) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |