| NPI | 1265869994 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PNT.046168)  | 
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PIC.020408)  | 
| Enumeration Date | 2013-09-26 | 
| Last Update Date | 2023-01-05 |