| NPI | 1013384908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 23925) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13934) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2016-10-06 |