| NPI | 1396305702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 124072) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH237399) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-21 |