| NPI | 1255600284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 18794) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051304637) |
| 183500000X Pharmacist (Licence: WY 4223) | |
| 183500000X Pharmacist (Licence: MO 2022010902) | |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2023-05-23 |