| NPI | 1265907091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-55379) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S023366) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |