| NPI | 1104101609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA19278) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS47017) |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2019-10-24 |