| NPI | 1003291410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 36207) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps59528) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2020-11-04 |