| NPI | 1225468945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 14689) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302028029) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2015-09-03 |