| NPI | 1255870028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AK PHAP2305) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302036941) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |