| NPI | 1114522513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS46917) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 21231) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |