| NPI | 1356704126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 22596) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS51110) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2025-11-20 |