| NPI | 1194197517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 25489) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP445601) |
| 183500000X Pharmacist (Licence: SC 36175) | |
| Enumeration Date | 2015-10-25 |
| Last Update Date | 2015-10-25 |