| NPI | 1093091696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 28215) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 16423-40) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2020-01-15 |