| NPI | 1205248978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 14236) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15785) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2018-05-26 |