| NPI | 1902247927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24744) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 14208) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2015-12-29 |