| NPI | 1922851195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835E0208X Pharmacist, Emergency Medicine (Licence: NC 700512) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NC 30542) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |