| NPI | 1720463169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS44216) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 12042) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |