| NPI | 1689945875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD 4117) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 19216) |
| 183500000X Pharmacist (Licence: MN 118797) | |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2021-03-04 |