| NPI | 1174896716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P-6706) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: ID P6706) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: KS 1-13791) | |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2023-11-21 |