| NPI | 1205112562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 16867) |
| Additional Taxonomies | 1835P2201X Pharmacist Ambulatory Care (Licence: AL 16867) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2023-10-17 |