| NPI | 1215536016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 68484) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 15283-40) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2023-12-11 |