NPI | 1265245161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: FL 66432) |
Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MD 28850) |
Enumeration Date | 2025-01-27 |
Last Update Date | 2025-01-27 |