| NPI | 1013511252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS62096) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 67508) |
| Enumeration Date | 2020-11-29 |
| Last Update Date | 2022-10-24 |