| NPI | 1164938130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS30769) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: FL PU4665) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |