| NPI | 1275125874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 12469) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 10974) |
| 183500000X Pharmacist (Licence: CA 46564) | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |