| NPI | 1750830113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S016262) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 17184) |
| 183500000X Pharmacist (Licence: NE 14751) | |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |