| NPI | 1790121457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2012028240) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 21757) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |