| NPI | 1801146964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-15028) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2012025466) |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: IA 22088) | |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2017-05-11 |