| NPI | 1891189783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 20347) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3746) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2019-01-09 |