| NPI | 1952682817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 17462) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 11370) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |