| NPI | 1992161749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 122059) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 20088-40) |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2026-02-12 |