| NPI | 1609229970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P7569) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0021339) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |