| NPI | 1669066304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-121695) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2019041872) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2025-08-04 |