| NPI | 1841606571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 56256) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-16633) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2020-06-11 |