| NPI | 1720459100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00009754) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 15049) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2025-08-03 |