| NPI | 1629478854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS58802) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 27369) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2020-09-30 |