| NPI | 1205491602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP452512) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA rp452512) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2025-05-28 |