| NPI | 1861817066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 22211) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202211833) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |