| NPI | 1154816080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202012937) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH R2205) |
| 183500000X Pharmacist (Licence: FL PS44310) | |
| 183500000X Pharmacist (Licence: GA RPH021434) | |
| 183500000X Pharmacist (Licence: AL 14485) | |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2018-06-23 |