| NPI | 1255985032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PR 6600) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH238774) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |