| NPI | 1356721211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PR 5544) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS42883) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |