| NPI | 1316336118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 5097) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 13248) |
| 183500000X Pharmacist (Licence: WY 3057) | |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |