| NPI | 1851628085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.019075) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 47885) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2013-12-13 |