| NPI | 1497091029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202211777) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0008039) |
| Enumeration Date | 2013-01-01 |
| Last Update Date | 2023-11-01 |