| NPI | 1265032684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 6215822-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 9646) |
| 183500000X Pharmacist (Licence: TX 38958) | |
| 183500000X Pharmacist (Licence: IL 051.289910) | |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |