| NPI | 1154300655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 14125-40V) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS39835) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2018-11-08 |