| NPI | 1477847804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP446390) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS044220) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2014-02-20 |