| NPI | 1669751202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 20216) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP445876) |
| Enumeration Date | 2011-08-14 |
| Last Update Date | 2022-10-12 |