| NPI | 1194120790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 17801) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 115112) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2022-06-06 |