| NPI | 1235530239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 7855) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 15980) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |