| NPI | 1619527975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0015169) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH239085) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2022-11-15 |