| NPI | 1245757293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 36901) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: KY 018910) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |