| NPI | 1508141631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 013742) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 15145) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2015-02-26 |