| NPI | 1275917767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP042318L) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RPI005534) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2020-11-12 |