| NPI | 1205370517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 20312) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202215486) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2020-09-02 |