| NPI | 1952657330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR pd08818) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 16606) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |