| NPI | 1669755815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 17370) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 10854) |
| 183500000X Pharmacist (Licence: WY 3136) | |
| 183500000X Pharmacist (Licence: AZ S010561) | |
| 183500000X Pharmacist (Licence: FL PS20807) | |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2023-04-13 |