| NPI | 1528477999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP036055L) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202210304) |
| 183500000X Pharmacist (Licence: MD 20543) | |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2014-08-10 |