| NPI | 1255300570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 21659) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP438341) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2023-09-05 |