| NPI | 1013373919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV rp0006343) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 012314) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2025-10-07 |