| NPI | 1194356303 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302042802)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5315109259)  | 
| Enumeration Date | 2020-01-28 | 
| Last Update Date | 2020-01-28 |