| NPI | 1023492808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S021311) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 122277) |
| 183500000X Pharmacist (Licence: SD 6277) | |
| Enumeration Date | 2015-07-12 |
| Last Update Date | 2015-07-12 |