| NPI | 1578186789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: FL PS50163) |
| Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: FL PS50163) |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PS50163) | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: FL PS50163) | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |