| NPI | 1124619408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202211312) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP439397) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |