| NPI | 1518092105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 417928) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PR 3676) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-07-15 |