| NPI | 1891017661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 0007017) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 19326) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |