| NPI | 1063884112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0003363) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.008449) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |