| NPI | 1033462544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2012034123) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15116) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2016-01-12 |