| NPI | 1053693788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202210500) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS45777) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2017-02-25 |