| NPI | 1255677993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 12173) |
| Additional Taxonomies | 1835N0905X Pharmacist Nuclear (Licence: SC 12173) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2016-04-20 |