| NPI | 1538995501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0014415) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS66351) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |