| NPI | 1851691661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 15534) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 14861-40) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |