| NPI | 1376901702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 25974) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP045326L) |
| Enumeration Date | 2016-01-30 |
| Last Update Date | 2016-01-30 |