| NPI | 1376828640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202206163) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS56037) |
| 183500000X Pharmacist (Licence: SC 8894) | |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2023-06-23 |