| NPI | 1629523402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0008288) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2001012927) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |