| NPI | 1861662611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: HI 2628) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 58494) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |