| NPI | 1851030381 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND RPh5460)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 120994)  | 
| Enumeration Date | 2022-06-02 | 
| Last Update Date | 2022-06-02 |