| NPI | 1558729632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS53385) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 39883) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |