| NPI | 1083199301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| 175L00000X Homeopath | |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |