| NPI | 1467861872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 35737) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 24550) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2021-07-14 |