| NPI | 1598365660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS61822) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS56467) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-29 |