| NPI | 1053920462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 42459) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-109698) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2021-02-15 |