| NPI | 1063846327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 19428) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 026942) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2019-03-27 |