| NPI | 1902915911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 14540) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps32003) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-09-26 |