| NPI | 1538416730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 54110) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 52641) |
| 183500000X Pharmacist (Licence: VA 0202213204) | |
| 183500000X Pharmacist (Licence: SC 13787) | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2020-11-20 |