| NPI | 1265158182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 19808) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100001507) |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |