| NPI | 1265979470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00008650) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S022289) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |