| NPI | 1710431259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 16903) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC 100000198) |
| 183500000X Pharmacist (Licence: FL 43517) | |
| Enumeration Date | 2016-08-13 |
| Last Update Date | 2016-08-13 |