| NPI | 1063863165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD 6393) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 22860) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-10-11 |