| NPI | 1205223476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR5219) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH3196) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |