| NPI | 1477292399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 125395) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0023443) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-05-31 |