| NPI | 1639581218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 043912) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-12178) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |