| NPI | 1366046443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 233429) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 10587) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |