| NPI | 1942500905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 5296) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 5790) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2014-01-22 |