| NPI | 1023324365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 17558) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 12885) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2018-10-03 |