| NPI | 1104106111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 13653) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 8290023-1701) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2022-03-03 |