| NPI | 1528592136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 8634) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP031184L) |
| 183500000X Pharmacist (Licence: FL PS18340) | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |