| NPI | 1073113676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH030183) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 071791) |
| 183500000X Pharmacist (Licence: NE 18686) | |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2026-06-12 |