| NPI | 1275971939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 22089) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 57318) |
| 183500000X Pharmacist (Licence: SD 6035) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2025-10-25 |