| NPI | 1023616604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 12864-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 12864) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |