| NPI | 1154794634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps51399) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PU7485) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |