| NPI | 1851667182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6163) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 6940) |
| 183500000X Pharmacist (Licence: WY 3403) | |
| 183500000X Pharmacist (Licence: CO PHA0019658) | |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2020-01-03 |