| NPI | 1134667454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 009851) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 006026) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |