| NPI | 1164022679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP447753) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 22508) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |