| NPI | 1649806654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH029806) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 42320) |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2026-05-18 |