| NPI | 1013255157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 16078) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 16124) |
| 183500000X Pharmacist (Licence: FL PS25240) | |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |