| NPI | 1962649079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 28031) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: FL RPT152) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2018-08-02 |