| NPI | 1730163080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS60609) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 12441) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2025-10-02 |