| NPI | 1427343706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202213188) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 18411) |
| 183500000X Pharmacist (Licence: PA RP441972) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2014-08-21 |