| NPI | 1043656275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202211636) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 21226) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |