| NPI | 1164801213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S021374) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP449530) |
| 183500000X Pharmacist (Licence: PA RPI009650) | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-09-08 |