| NPI | 1710432174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 62797) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS40114) |
| 183500000X Pharmacist (Licence: MA 26380) | |
| 183500000X Pharmacist (Licence: HI PH3725) | |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |