| NPI | 1649693896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2002022647) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 23124) |
| 183500000X Pharmacist (Licence: FL Ps38124) | |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |