| NPI | 1114390127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.14517) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 27072) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |