| NPI | 1376208512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 43210) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 01234) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2021-11-05 |