| NPI | 1932560042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 13317) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 71548) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |