| NPI | 1932489564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2009018212) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 012563) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2013-04-22 |