| NPI | 1164831236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 18897) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 52169) |
| 183500000X Pharmacist (Licence: GA RPH025923) | |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2023-10-12 |