| NPI | 1669026647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH240136) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 18816-40) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2026-04-21 |