| NPI | 1457642696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6786) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0010773) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2018-04-12 |