| NPI | 1154708675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 4004) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA Ph235362) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |