| NPI | 1962815514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24053) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302041063) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |