| NPI | 1528493798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 13888) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP041385L) |
| 183500000X Pharmacist (Licence: NC 22325) | |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |