| NPI | 1407313893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS47329) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST018896) |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |