| NPI | 1184072324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP441218) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 15028) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |