| NPI | 1821332651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 19150) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 6691982) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2015-03-23 |