| NPI | 1952598344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 012218) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 1617) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |