| NPI | 1235415233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS46252) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 49945) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2021-01-07 |