| NPI | 1154675627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S025743) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2012026474) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2023-10-18 |