| NPI | 1124750948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 41999) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 20941-40) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-06-29 |