| NPI | 1821387903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA rph022634) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302033635) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |