| NPI | 1275921884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 15849) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 21937) |
| 183500000X Pharmacist (Licence: WY 3989) | |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2023-03-01 |