| NPI | 1851705024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 11854) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 22642) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |