| NPI | 1831262633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 14758-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 20042) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-04-27 |