| NPI | 1730864828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD13733) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR PD13733) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: AR PD13733) | |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |