| NPI | 1679049696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP451721) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 27900) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2023-10-20 |