| NPI | 1235671256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 012483) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202204675) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |