| NPI | 1275917759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD 4560) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 17326) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |