| NPI | 1073275426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NM RP00009585) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy (Licence: NM 9585) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2022-10-25 |