| NPI | 1447662648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S020425) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 18018) |
| 183500000X Pharmacist (Licence: MI 5302023547) | |
| 183500000X Pharmacist (Licence: FL PS32405) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |