| NPI | 1225319908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 5829470-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 17166) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2024-08-01 |