| NPI | 1225619695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 69239) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 42731) |
| 183500000X Pharmacist (Licence: NC 30086) | |
| 183500000X Pharmacist (Licence: GA RPH032571) | |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2021-10-05 |