| NPI | 1164831491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 15661) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-16462) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2018-08-17 |