| NPI | 1376017822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 30901) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 22140) |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2025-09-19 |