| NPI | 1265245161 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: FL 66432) | 
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MD 28850) | 
| Enumeration Date | 2025-01-27 | 
| Last Update Date | 2025-01-27 |