| NPI | 1639562325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS49399) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH0013750) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |