| NPI | 1871792929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps45790) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2003023565) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2022-12-19 |