| NPI | 1154931426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P8950) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 30419) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2021-09-26 |