| NPI | 1861662033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS38920) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 17250) |
| 183500000X Pharmacist (Licence: FL PU5943) | |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |