| NPI | 1235729146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2017014595) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-100357) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2023-05-12 |