| NPI | 1487039202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS53297) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-103484) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2025-04-04 |