| NPI | 1972885820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.018270) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA MA.000765) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |