| NPI | 1629518022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 23317) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS52563) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |