| NPI | 1609440700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-14347) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2011000407) |
| 183500000X Pharmacist (Licence: FL PS56633) | |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-05-14 |