| NPI | 1366710477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 16932) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS50062) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2022-12-21 |