| NPI | 1821273509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 9203) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 53522) |
| 183500000X Pharmacist (Licence: MA 18835) | |
| Enumeration Date | 2008-01-01 |
| Last Update Date | 2008-01-01 |