| NPI | 1104383272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL S12174) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PSI38733) |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |