| NPI | 1447230164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 12820) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP439190) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-07-27 |