| NPI | 1063814937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 35765) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 028081) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2023-03-13 |