| NPI | 1639727886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 33678) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp039564l) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2025-04-09 |