| NPI | 1962892067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS52611) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202213504) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |