| NPI | 1235672007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 014530) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH028279) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |