| NPI | 1952146425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 86281) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 025981) |
| 183500000X Pharmacist (Licence: ID 10014) | |
| 333600000X Pharmacy (Licence: NV 23186) | |
| 333600000X Pharmacy (Licence: OR 0019002) | |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |