| NPI | 1285917286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202213142) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 50731) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2015-09-27 |