| NPI | 1053868919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E14646) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST. 021620) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |