| NPI | 1396145512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 20340) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 6199) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2021-08-18 |