| NPI | 1609471986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP455008) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA RP455008) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2022-05-12 |