| NPI | 1952683690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 30795) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 6698) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |