| NPI | 1023568573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 13624) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 11066) |
| Enumeration Date | 2016-10-08 |
| Last Update Date | 2016-10-08 |