| NPI | 1477835742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS45154) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202214400) |
| 183500000X Pharmacist (Licence: CO PHA.0023069) | |
| 183500000X Pharmacist (Licence: WV RP0012244) | |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2021-10-21 |