| NPI | 1073135422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 14603) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 22288) |
| 183500000X Pharmacist (Licence: TX 60330) | |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-07-24 |