| NPI | 1760140537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0134780) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 018700) |
| 183500000X Pharmacist (Licence: CT PTP.000586) | |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2026-04-29 |