| NPI | 1508171273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP441652) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 18126) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2016-08-17 |