| NPI | 1174964647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 016631) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302042573) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2024-01-24 |