| NPI | 1639773849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD 6735) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 64892) |
| Enumeration Date | 2020-11-28 |
| Last Update Date | 2020-11-28 |