| NPI | 1912204165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 10347) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 18980) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2022-04-16 |