| NPI | 1265899801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 25660) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202213856) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |