| NPI | 1891045167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 700324) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 7689) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2025-10-17 |