| NPI | 1619410594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302041173) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-14669) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |