| NPI | 1760913834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS54704) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 23500) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |