| NPI | 1982770749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps38155) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 37957) |
| 183500000X Pharmacist (Licence: MI 5302026984) | |
| Enumeration Date | 2006-11-25 |
| Last Update Date | 2007-07-08 |