| NPI | 1083219547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 12487) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 45198) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |