| NPI | 1215489463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS54459) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 3864) |
| 183500000X Pharmacist (Licence: VT 033.0089282) | |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |