| NPI | 1871870196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS27056) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PU6972) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH21388) | |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2020-01-20 |