| NPI | 1568706562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 49387) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13964) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2024-04-01 |