| NPI | 1689644742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302029785) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 14016) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2025-07-31 |