| NPI | 1033404587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 12884) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD 12884) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2021-01-13 |