| NPI | 1942561766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202211990) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22416) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2016-02-22 |