| NPI | 1942678081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP447872) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 17951-40) |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2015-09-07 |