| NPI | 1235519588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 40813) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MS 07332) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MS T-15977) | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2021-10-02 |