| 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 |