| NPI | 1255975009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS55789) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH24736) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |