| NPI | 1194978494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 2305) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 11376) |
| 183500000X Pharmacist (Licence: CO 14687) | |
| 183500000X Pharmacist (Licence: VI 240) | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2016-06-17 |