| NPI | 1619076015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 15914) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 39781) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2019-09-06 |