| NPI | 1154752111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS 36897) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PU 6387) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |