| NPI | 1952649378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 15219) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 20193) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |