| NPI | 1750652111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 5384) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 19155) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2023-01-15 |