| NPI | 1073166856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 64646) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 020577) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |