| NPI | 1942739529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AL 10734) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: AL 10734) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |