| NPI | 1952794018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000027767) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202207556) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |