| NPI | 1740724418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP450091) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202214620) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |