| NPI | 1184023608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP449029) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0008763) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2015-10-18 |