| NPI | 1073982708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS 50099) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK PHA P 2320) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |