| NPI | 1508460783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 123399) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 23344) |
| 183500000X Pharmacist (Licence: SD 6618) | |
| Enumeration Date | 2020-11-28 |
| Last Update Date | 2024-03-16 |