| NPI | 1356891808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 4857624-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P7155) |
| Enumeration Date | 2016-10-08 |
| Last Update Date | 2016-10-08 |