| NPI | 1861788663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 17634) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 17449) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |