| NPI | 1912369554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S019066) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP441067) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |