| NPI | 1043686264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PST.023921) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-14007) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2021-11-17 |