| NPI | 1992703185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 13588) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PR 2544) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2011-08-16 |