| NPI | 1801167564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS42197) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 012733) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |