| NPI | 1346556677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 17408) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP442033) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2022-05-20 |