| NPI | 1649684960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 10653) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 11866) |
| 183500000X Pharmacist (Licence: CO 20268) | |
| Enumeration Date | 2014-06-14 |
| Last Update Date | 2014-06-14 |