| NPI | 1215444823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 20132) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps57027) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2019-06-11 |