| NPI | 1790123545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6676) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 8341110-1701) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |