| NPI | 1629497003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 151493-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ s009589) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |