| NPI | 1609960160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 19386) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 009139) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-09-19 |