| NPI | 1043602212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 20074) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 12398) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |