| NPI | 1881917771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 19105) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS40647) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |