| NPI | 1184103004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2009013474) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-14569) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |