| NPI | 1629553276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 37911) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS58508) |
| 183500000X Pharmacist (Licence: MD 25837) | |
| Enumeration Date | 2018-09-29 |
| Last Update Date | 2018-09-29 |