| NPI | 1992001119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 9862) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 4324) |
| Enumeration Date | 2011-02-05 |
| Last Update Date | 2011-02-05 |