| NPI | 1063772358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 12305) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 20568) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2023-08-13 |