| NPI | 1881077105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 18404-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 017867) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2016-12-08 |