| NPI | 1992080543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps37707) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 14165) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |