| NPI | 1659740660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202209647) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 18894) |
| Enumeration Date | 2015-09-20 |
| Last Update Date | 2016-01-25 |