| NPI | 1861875171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3567) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0014388) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-07-06 |