| NPI | 1033403472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 11722) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0021245) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2017-05-04 |