| NPI | 1073105417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 13433-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH022352) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |