| NPI | 1629325865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2012027076) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15350) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2016-10-07 |