| NPI | 1346529757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP445706) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 5874) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2019-04-30 |