| NPI | 1568056075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 29168) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 29169) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-25 |