| NPI | 1174781504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS52782) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP440316) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2025-05-28 |