| NPI | 1831257955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 13564-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP045553L) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |