| NPI | 1396088993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 0021553) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202211720) |
| 183500000X Pharmacist (Licence: NV 17071) | |
| 183500000X Pharmacist (Licence: NE 11006) | |
| 183500000X Pharmacist (Licence: CA 49917) | |
| 183500000X Pharmacist (Licence: AZ S012678) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2017-03-16 |