| NPI | 1225552987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 022090) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 62414) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2021-03-24 |