| NPI | 1245881176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS54850) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 56907) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |