| NPI | 1881995892 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS54384)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13155)  | 
| Enumeration Date | 2010-11-07 | 
| Last Update Date | 2017-04-13 |