| NPI | 1124436704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 10916) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 17370) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |