| NPI | 1639706872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2013022790) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-17127) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |