| NPI | 1275139362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA rp454255) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202217023) |
| Enumeration Date | 2020-12-05 |
| Last Update Date | 2020-12-05 |