| NPI | 1295282564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 25907) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP450262) |
| 183500000X Pharmacist (Licence: WI 18224-40) | |
| Enumeration Date | 2016-09-05 |
| Last Update Date | 2016-09-05 |