| NPI | 1154956332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 125487) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 19991-40) |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2025-11-13 |