| NPI | 1174995187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AK 199986) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 69771) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2026-04-09 |