| NPI | 1801171244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P5820) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 20938) |
| 183500000X Pharmacist (Licence: AK 216367) | |
| 183500000X Pharmacist (Licence: KS 1-110099) | |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2024-08-30 |