| NPI | 1184974149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 28486) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13660) |
| 183500000X Pharmacist (Licence: FL 44972) | |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2024-01-23 |