| NPI | 1285238378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-109324) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2019025930) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2023-06-06 |