| NPI | 1063043198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302046182) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302042624) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2023-09-08 |