| NPI | 1649693029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PU 6185) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 34988) |
| 183500000X Pharmacist (Licence: CA RPH 68833) | |
| 183500000X Pharmacist (Licence: NY 039732) | |
| 183500000X Pharmacist (Licence: AZ 11391) | |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |