| NPI | 1336770379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302030435) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5315118361) |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-02-12 |