| NPI | 1255717716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PR 6275) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS54158) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-09-14 |