| NPI | 1275737017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202007917) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 31804) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2025-09-11 |