| NPI | 1417140625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 22407) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 12819) |
| 183500000X Pharmacist (Licence: MO 2007021853) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2021-01-14 |