| NPI | 1992900401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3147) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA 031213) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2007-07-08 |