| NPI | 1942574678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P4965) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 8112711-1701) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2021-09-01 |