| NPI | 1578963146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S025662) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 22461) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2023-09-28 |