| NPI | 1013083716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 3671) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 20252) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2020-10-22 |