| NPI | 1063039584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP442905) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RPI004430) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |