| NPI | 1114529278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS58982) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P8312) |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |