| NPI | 1629537501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PR 6632) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS58831) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |