| NPI | 1255616850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302038334) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 54101) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2025-10-10 |