| NPI | 1306133947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 21826) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: SC 13440) |
| Enumeration Date | 2011-07-04 |
| Last Update Date | 2026-02-18 |