| NPI | 1891039285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 66012) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 019980) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2023-08-22 |