| NPI | 1124472980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 7658) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps29080) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |