| NPI | 1386160406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 0021913) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302046933) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2026-07-21 |