| NPI | 1992189476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 122326) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 22509) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |