| NPI | 1922301860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS 010858) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 019320) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |