| NPI | 1457938128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 68186) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 20792) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-03-26 |