| NPI | 1982872628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 19014) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 14675) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2021-06-23 |