| NPI | 1063839561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 117280) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 25029) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2026-01-08 |