| NPI | 1487046561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 36235) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 16570) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-11-17 |