| NPI | 1144619669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302039376) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 2240) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-03-05 |