| NPI | 1407226087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 23549) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 37328) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2021-11-29 |