| NPI | 1972625408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 11712) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 043041) |
| 183500000X Pharmacist (Licence: KS 1-11548) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-12-27 |