| NPI | 1467725937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 38335) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 017524) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2016-04-26 |