| NPI | 1518557875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 41021) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 133.0133208) |
| 183500000X Pharmacist (Licence: ID P9195) | |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2022-01-25 |