| NPI | 1306190434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S020457) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302041152) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2022-09-01 |