| NPI | 1942603469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 13823-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2000172852) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |