| NPI | 1164416921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 00033912) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS40346) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2020-11-20 |