| NPI | 1215368873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS40855) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 13017) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |