| NPI | 1114296811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps38033) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PR 3722) |
| Enumeration Date | 2011-12-26 |
| Last Update Date | 2022-12-23 |