| NPI | 1003557497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S025389) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 69793) |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-07 |