| NPI | 1255961769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-100741) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 22556) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2023-01-11 |