| NPI | 1578819728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 6655) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 18503) |
| 183500000X Pharmacist (Licence: ID P6746) | |
| 183500000X Pharmacist (Licence: CA 70425) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2022-03-09 |