| NPI | 1649610767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 14148) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202212131) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2014-06-04 |