| NPI | 1982981007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS32961) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 23030) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |