| NPI | 1972825776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 14652) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 21550) |
| Enumeration Date | 2010-02-20 |
| Last Update Date | 2010-02-20 |