| NPI | 1972986032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 25300) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS55144) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2016-11-11 |