| NPI | 1265986343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps27375) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH r1784) |
| Enumeration Date | 2016-08-07 |
| Last Update Date | 2016-08-07 |