| NPI | 1366829947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 12746-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 9156) |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2015-05-02 |