| NPI | 1205268042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 21799) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM 7987) |
| Enumeration Date | 2013-08-03 |
| Last Update Date | 2020-09-22 |