| NPI | 1780968867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60775074) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 051575) |
| 183500000X Pharmacist (Licence: VA 0202210649) | |
| 183500000X Pharmacist (Licence: NJ 28RI03215800) | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2023-05-29 |