| NPI | 1114304631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP449323) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PCT.0013195) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |