| NPI | 1043558463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S018504) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 042481) |
| 183500000X Pharmacist (Licence: UT 7787049-1701) | |
| 183500000X Pharmacist (Licence: UT 7787049-8911) | |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |