| NPI | 1093316390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NM RP00009130) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: NM RP00009130) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |