| NPI | 1588380893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-107046) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2022035895) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |