| NPI | 1154714145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS42560) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PR 5007) |
| Enumeration Date | 2015-03-15 |
| Last Update Date | 2015-03-15 |