| NPI | 1881037133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202012947) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104002025) |
| 183500000X Pharmacist (Licence: WV RP0010033) | |
| 183500000X Pharmacist (Licence: NC 26842) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2024-11-15 |