| NPI | 1366811275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 49146) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 021058) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2022-04-19 |