| NPI | 1093149726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202219314) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 27666) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2021-01-27 |