| NPI | 1851767040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 23417) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202214800) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2016-06-07 |