| NPI | 1396452256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 125738) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND 6447) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-11-01 |