| NPI | 1841900271 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP459007) | 
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: PA 0890773) | 
| Enumeration Date | 2022-11-28 | 
| Last Update Date | 2024-10-13 |