| NPI | 1619760691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP042960L) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA RP042906L) |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |