| NPI | 1629197488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 022867) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0000009095) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2022-07-28 |