| NPI | 1508447590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 84147) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 67644) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |