| NPI | 1639767866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 22700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI 3384) |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-04 |