| NPI | 1376093948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 15546) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202220506) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2023-02-28 |