| NPI | 1629461298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 14353) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 23771) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |