| NPI | 1104106483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM rp00008663) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 18104) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2017-03-09 |