| NPI | 1801039334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 19409) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 38771) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2013-05-03 |