| NPI | 1528777273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-101003) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2021015385) |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2022-11-22 |