| NPI | 1699063602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 13627) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 21762) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2015-08-10 |