| NPI | 1609272178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 41112) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 16945) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2025-10-13 |