| NPI | 1992097323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 20721) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 37197) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2022-07-21 |