| NPI | 1558656181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22401) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13918) |
| 183500000X Pharmacist (Licence: VA 0202209301) | |
| Enumeration Date | 2011-06-11 |
| Last Update Date | 2020-04-05 |