| NPI | 1558963272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 022769) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 59567) |
| 183500000X Pharmacist (Licence: MS 14013) | |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |