| NPI | 1134498827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP445971) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 21999) |
| Enumeration Date | 2011-12-24 |
| Last Update Date | 2021-08-25 |