| NPI | 1396135687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV 0007901) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 016357) |
| 183500000X Pharmacist (Licence: VA 0202211956) | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2022-07-06 |