| NPI | 1235502121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 23434) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202213165) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2020-01-10 |