| NPI | 1639610785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 21377) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 12236) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2018-09-25 |