| NPI | 1972822765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 19346) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 11998) |
| 183500000X Pharmacist (Licence: VA 0202208199) | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |