| NPI | 1346585841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 61194) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH232337) |
| 183500000X Pharmacist (Licence: WA PH60305890) | |
| 183500000X Pharmacist (Licence: TX 60323) | |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2020-11-23 |