| NPI | 1205432309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS55226) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302040737) |
| Enumeration Date | 2020-12-05 |
| Last Update Date | 2020-12-05 |