| NPI | 1013239003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS40198) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN1842812) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2016-01-19 |