| NPI | 1851402861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0003775) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP440175) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-09-21 |