| NPI | 1164886370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 19569) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 13086) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2021-07-16 |