| NPI | 1679972327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 14127) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 37679) |
| 183500000X Pharmacist (Licence: VA 0202212553) | |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |