| NPI | 1043815913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DC PH10002442) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 24405) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |