| NPI | 1558716530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS34256) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH24777) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |