| NPI | 1538662697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 28959) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 42349) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2020-07-08 |