| NPI | 1902287451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 12403886) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 18649) |
| 183500000X Pharmacist (Licence: CA 83097) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2022-10-01 |