| NPI | 1073199766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 60532) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302032679) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-04-13 |