| NPI | 1184966137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 19570) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM 00008334) |
| 183500000X Pharmacist (Licence: KS 1-104994) | |
| Enumeration Date | 2013-03-17 |
| Last Update Date | 2022-11-01 |