| NPI | 1356679195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 122201) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 42763) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2025-08-12 |