| NPI | 1912298035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT7161) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS25049) |
| Enumeration Date | 2011-04-23 |
| Last Update Date | 2012-01-21 |