| NPI | 1639414261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 23954) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC SC13068) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2016-09-19 |