| NPI | 1912174392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 18838) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 43992) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2023-09-25 |