| NPI | 1013375047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0134250) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 3790) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2020-06-12 |