| NPI | 1790923936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 9028) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 10269) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2013-12-04 |