| NPI | 1205439098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 12941) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 9359) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |