| NPI | 1487050100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 20262-40) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD HHA10642) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2021-05-10 |