| NPI | 1265894562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 0012380) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI 05267) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2017-01-16 |