| NPI | 1912202151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 6779) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 12026) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |