| NPI | 1720403025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 15490) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS 8441) |
| Enumeration Date | 2014-02-23 |
| Last Update Date | 2014-02-23 |