| NPI | 1821391731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0007083) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 24232) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |