| NPI | 1457747065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 21635) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 11413) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-09 |