| NPI | 1083278014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 16787) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 17153) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |