| NPI | 1255625349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 15146) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 18289) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2018-03-17 |