| NPI | 1275919938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0016037) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 22590) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2022-07-21 |