| NPI | 1982732608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 13393) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 40590) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2012-08-16 |