| NPI | 1568800472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 23231) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS52409) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2016-10-29 |