| NPI | 1477095677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00008613) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 26418) |
| Enumeration Date | 2016-11-06 |
| Last Update Date | 2025-07-11 |