| NPI | 1891943544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 16299) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 25452) |
| Enumeration Date | 2008-09-07 |
| Last Update Date | 2008-09-07 |