| NPI | 1124621412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 26869) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202218264) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2022-09-01 |