| NPI | 1336617661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202209486) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302034870) |
| 183500000X Pharmacist (Licence: NC 19169) | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |