| NPI | 1093156218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 83327541701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-12608) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |