| NPI | 1083978373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD 5973) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202211446) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2018-08-21 |