| NPI | 1205206307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 020983) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 015205) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |