| NPI | 1265617955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS46292) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302027330) |
| 183500000X Pharmacist (Licence: WI 10957-40) | |
| Enumeration Date | 2008-01-01 |
| Last Update Date | 2024-02-13 |