| NPI | 1497175129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 14748) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 022950) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |