| NPI | 1639412497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2020025317) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS49483) |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2022-12-30 |