| NPI | 1114575586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202219319) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302411938) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2021-07-13 |