| NPI | 1003113176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 12421) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS43711) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2016-09-22 |