| NPI | 1134087885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00015041) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28R102802300) |
| Enumeration Date | 2026-01-12 |
| Last Update Date | 2026-01-12 |