| NPI | 1922398965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 13166) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 12447) |
| 183500000X Pharmacist (Licence: PA RP040430t) | |
| 183500000X Pharmacist (Licence: VA 0202011101) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2012-11-16 |