| NPI | 1992091649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6841) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 7716) |
| 183500000X Pharmacist (Licence: WY 3456) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2021-04-30 |