| NPI | 1295168466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 14305) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 22067) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2022-01-15 |