| NPI | 1619596160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 20331) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 020881) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2021-07-21 |