| NPI | 1386244168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 12268) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MD 12268) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD 12268) | |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |