| NPI | 1952686545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA-18601) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 16177-40) |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2011-10-15 |