| NPI | 1912351016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0011273) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP444210) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |