| NPI | 1982019311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 12362) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 8046) |
| 183500000X Pharmacist (Licence: FL PS27614) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |