| NPI | 1972923175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP444239) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RPI002082) |
| Enumeration Date | 2014-04-26 |
| Last Update Date | 2014-04-26 |