| NPI | 1558775239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S10126) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302027914) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |