| NPI | 1265919815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 27462) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 019718) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2022-06-03 |