| NPI | 1811370745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD 5235) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 117472) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |