| NPI | 1972904837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 15425) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP033961L) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-30 |