| NPI | 1306150867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 0024409) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101018978) |
| 333600000X Pharmacy (Licence: WY 4225) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2023-09-03 |