| NPI | 1245774504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 18234) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-16467) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |