| NPI | 1174175079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2018025556) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD14584) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |