| NPI | 1396119236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 8503-42) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 12693-40) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2025-06-06 |