| NPI | 1043646680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH234867) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-16291) |
| Enumeration Date | 2013-09-15 |
| Last Update Date | 2021-08-13 |