| NPI | 1881981686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 20053) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202208707) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |