| NPI | 1194204446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 21034) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST.022570) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2020-12-28 |