| NPI | 1982998886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 29397) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302029413) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2022-12-27 |