| NPI | 1386020584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24975) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 50549) |
| 183500000X Pharmacist (Licence: FL 7580) | |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |