| NPI | 1962491332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 2451) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 6112) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2025-11-17 |