| NPI | 1871853523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 19987) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 12316) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |