| NPI | 1134599376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202013067) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: VA 0202013067) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |