| NPI | 1114521507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 18632) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ s020173) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-25 |