| NPI | 1205421732 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 19416) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV M19416) | 
| Enumeration Date | 2021-03-06 | 
| Last Update Date | 2021-03-06 |