| NPI | 1003166331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 18669) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202208380) |
| 183500000X Pharmacist (Licence: GA RPH025035) | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2024-04-24 |