| NPI | 1932472164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 16070) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 10624) |
| 183500000X Pharmacist (Licence: FL PS 33823) | |
| Enumeration Date | 2012-02-19 |
| Last Update Date | 2012-02-19 |