| NPI | 1316287105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 6002) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3458) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2020-03-05 |