| NPI | 1386660652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 7425) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 4229) |
| 183500000X Pharmacist (Licence: LA 15796) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-02-17 |