| NPI | 1417542275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2017029955) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-102837) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |