| NPI | 1518483080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 10908386-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 19990) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2019-08-19 |