| NPI | 1821407222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000011988) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 009975) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |