| NPI | 1073396628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 024121) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS66156) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2024-04-24 |