| NPI | 1790128262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA PH235701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH-027273) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2022-06-03 |