| NPI | 1720463623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202211046) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST.020690) |
| 183500000X Pharmacist (Licence: NC 23974) | |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |