| NPI | 1356939524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 22597) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CO 22597) |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2026-05-21 |