| NPI | 1164956017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.022007) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 60214) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2018-05-24 |