| NPI | 1649638453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 23185) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202214268) |
| 183500000X Pharmacist (Licence: MO 2014029953) | |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-03-30 |