| NPI | 1104461730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 20999) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 43674) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |