| NPI | 1871919670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00007973) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP443561) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |